Individual
DR. MOAZAM CHEEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 775-9170
Mailing address
7629 170TH ST, FRESH MEADOWS, NY 11366-1343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63490
CT
207RN0300X
Nephrology Physician
Primary
306209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RP14117A
—
NY
Enumeration date
05/02/2016
Last updated
08/28/2024
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